Orange County NC Website
DocuSign Envelope ID: E42A16D1-4ECA-4D4C-B1E0-D3FFDA69010B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Mulberry Building Co. LLC Party/Vendor Contact Person: Peter Ye ag nian Contact Phone: <br /> (919) 812-4243 Party/Vendor Address: 9501 Highway 86 No City Cedar Grove State: NC Zip: 27231 <br /> Department: DEAPR Amount: $2,850 Purpose: Kiosk for Visitor Welcome Signage and Site Maps for Blackwood <br /> Farm Park Budget Code(s): 61370035 880000 20037 Vendor#62943 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> August 1,2015 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature I—VaVL Sf0JA,0'L Date: 7/27/2015 <br /> 611CFA1D507A495... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> ---DocuSigned""by: <br /> ''� <br /> Office of the Risk Management Officer rAusa, 66vvt,e 6 Date: 7/27/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> ---DocuSigned by:: '' <br /> Office of the Chief Financial Officer &(A l,( 61VU Date: 7/28/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Signed by: <br /> Office of the County Attorney 56Z, otxfS Date: 7/28/2015 <br /> EAAMKEMA8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 10/14 5 <br />